Individual provider Active NPI

Constance G Uribe, MD

  • Surgery Physician
  • Yuma, AZ
National Provider Identifier
1154307346
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
11877 Issued in AZ
Practice address
2244 S Ave a
#D
Yuma, AZ 85364-8341
Phone
(928) 782-9274
Fax
(928) 783-7324
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 11877 AZ Primary
Surgery Physician 208600000X A3044 CA

Addresses

Primary practice location

2244 S Ave a
#D
Yuma, AZ 85364-8341

Mailing address

2244 S Ave a
#D
Yuma, AZ 85364-8341
Phone (928) 782-9274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11877AZMDAddiction (Substance Use Disorder) Counselor
A3044CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Constance G Uribe MD PC Surgery PastSince Mar 6, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1154307346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 S AVE A",
            "address_2": "#D",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648341",
            "telephone_number": "928-782-9274",
            "fax_number": "928-783-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 S AVE A",
            "address_2": "#D",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648341",
            "telephone_number": "928-782-9274",
            "fax_number": "928-783-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIBE",
        "first_name": "CONSTANCE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "11877",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A3044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.